Account Setup – WeCare Pharmacy

Register for our secure online portal to unlock online forms and payment info, pharmacy transfer forms, priority support access, and unique on-demand webinar and educational content.

Practitioner Name(Required)

First Last

NPI Number(Required)

DEA Number(Required)

Practice Name(Required)

Medical Director

NPI Number

DEA Number

Practice Owner

Promo or Conference Code

Upload Provider License

Max. file size: 300 MB.

Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Credit Card

CC Exp. Date

CVV

Email for shipping notifications(Required)

Phone(Required)

Fax

Username

Password

Enter Password Confirm Password